| NPI | 1396364899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MAUPIN Owner 850-905-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-10-14 |